Missed opportunities in diabetes care: unraveling therapeutic inertia and its predictors in resource-limited settings
Therapeutic inertia is highly prevalent, affecting 67.2% of ambulatory patients with type 2 diabetes at NEMMCSH. This study highlights critical barriers at patient, provider, and system levels. Interventions such as expanding insurance coverage, enhancing provider training and decision support, implementing prompts for elevated glycemia, and integrating point-of-care HbA1c testing are urgently needed to reduce therapeutic inertia and improve glycemic control in resource-constrained settings.
Authors
- Bruke Berhanu Billoro (ORCID: https://orcid.org/0000-0002-0751-9812)
- Sintayehu Samuel (ORCID: https://orcid.org/0000-0003-1414-9888)
- Alemnesh Wolde
- Freshwork Ayalew
- Dawit Alemu Lemma
- Ejigayehu Getahun Ganamo
- Belayneh Yitayew Wallie
Institutions
- Johns Hopkins University (US)
- American Association of Colleges of Pharmacy (US)
- Wolaita Sodo University (ET)
- Wollo University (ET)
- West Bengal Electronics Industry Development Corporation Limited (India) (IN)
- Wachemo University
Publication Details
- Journal
- Cardiovascular Diabetology – Endocrinology Reports
- Published
- 2025-12-02
- DOI
- https://doi.org/10.1186/s40842-025-00250-8
- Primary Topic
- Diabetes Management and Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Wachemo University